[Saphenous vein stripping in post-thrombotic syndrome]

Some patients with a history of deep venous thrombosis have intact valves in the deep venous system. For these patients a diagnostical examination is important to prove the falling high venous pressure. According to several functional tests the decline of venous pressure indicates the surgical treatment of the insufficient superficial veins. Step by step we show the diagnostical and therapeutical procedure in a patient with a history of deep venous thrombosis. Then we discuss an alternative decision and ask the question, if the absence of increasing venous pressure according to the phlebodynamometry indicates the surgical sanitation of the insufficient superficial veins.